Izigulana zomzimba, ezaziwa nangokuthi i- condylomata acuminata , yenye yezona zifo ezixhaphakileyo ngesondo . Kuqikelelwa ukuba abantu abangama-340,00 ukuya ku-360,000 bathinteka kwiimfazwe zentsapho minyaka yonke e-United States, nangona izifo ezininzi zingabangela iimpawu.
Izizathu
Iimfazwe zomzimba zibangelwa yi- papillomavirus yabantu (HPV) . Kukho iintlobo ezili-100 zeentlobo ze-HPV zokungenwa kwezifo ezingama-30 ezazisasazwa ngesondo.
Ukuba uye wafunda malunga neengxabano zesini somzimba ungaba udidekile kwaye unentloni nje. Kungenxa yokuba kukho ukungaqondi kakuhle ngegciwane le-HPV kunye neengxaki zeengxaki ezahlukeneyo zegciwane. Ngelixa i-HPV yimbangela yeengxabano zesini somzimba, iintsholongwane ezibangela ukuba imilenze yomzimba ingeyona ingxaki ebangela umdlavuza.
Phantse iipesenti ezingama-90 zeengxabano zesini somzimba zibangelwa yi-HPV 6 kunye ne-HPV 11. Ngokwahlukileyo, iipesenti ezingama-70 zeengcingo zesifo somlomo zibangelwa yi-HPV 16 ne-HPV 18 kunye neengcingo zomlomo ezininzi ezibangelwa yi-HPV ngenxa ye-HPV. iisifo zomdlavuza zibangelwa iifom ze-HPV 31, 33, 34, 45, 52, kunye no-58.
Ngamanye amazwi, iimpembelelo ze-HPV ezibangela ukuba iiltshi zesondo zitshatshale zihluke kunemingcipheko eyenza umdlavuza wesibeleko kunye nokunye. Ngakolunye uhlangothi, izinto ezinobungozi ekuphuhliseni i-HPV-zombini iintsholongwane zesondo-ezibangelwa ngamagciwane kunye nemiphunga yomhlaza wesibeleko-iyafana.
Izifo ze-HPV
Abantu abaninzi banentsholongwane ye-HPV, kodwa ixesha elininzi, nangomdlavuza obangela umdlavuza, intsholongwane ipheliswa emzimbeni ngaphambi kokuba kukho naziphi iimpawu. Ukuba unentsholongwane yenye yee-virus, ungenayo nayiphi na impawu, unokuhlakulela i-warts yomzimba, okanye unokuba ne- pap smear engavumelekanga ye-dysplasia okanye iinguqu zengqungquthela yomlomo wesibeleko.
Iimpawu
Iimfazwe zomzimba zichaphazela izicubu ezinomsolo zesini somzimba. Ziyakubonakala ngathi ziincinci, ezinemibala enemizimba okanye njengeqela leemvumba kwindawo yesini. Ziyakwazi ukuhluka ngobukhulu kwaye ngamanye amaxesha zibonakala zijonge njenge-cauliflower. Kwiimeko ezininzi, iimfazwe zincinci kakhulu ukuba zingabonwa. Isiqingatha sabantu besetyhini kunye nepesenti zabantu, bahlakulele ama-warts omzimba xa benetyholongwane ye-HPV.
Kula mabhinqa, iil warts zesondo ngokuqhelekileyo zenzeka kwi-labia kunye nelokuvulwa kwesini. Kwamadoda, aqhelekileyo kwisiqalo se-penis, kodwa inokuthi iqhube kunye ne-shaft. Bobabini abesilisa nabasetyhini banokuhlakulela iimfazwe malunga nokuvula kwi-anus. Ulwabelana ngesondo akuyimfuneko ukuba ezi zinto zenzeke. Amadoda nabasetyhini bangaphinda bahlakulele ama-warts omzimba emlonyeni okanye emqaleni ehambisana nesondo lomlomo.
Ukuxilongwa
Ukuhlolwa rhoqo kwe-HPV kunconywa ukwenzela ukukhusela umhlaza wesibeleko kunye nezinye iingxaki ze-HPV. Akukho vavanyo oluqhelekileyo lokuxilongwa kwe-HPV. Kubalulekile ukuba abafazi bahlale behlola iimpapu eziqhelekileyo ukuze bafumane ukungaqhelekanga okungabonakalisa ukusuleleka kwe-HPV.
Ukuba kukho ukungaqhelekanga, uvavanyo lwe-DNA, olunokuvavanya i-HPV enobungozi obuphezulu, lunokuqhutywa. Ukuba iilts okanye izilonda zivela kwindawo yesini, kufuneka ufune unyango kunye novavanyo lwe-HPV.
Kubalulekile ukuba uqaphele, nangona kunjalo, ukuba iimvavanyo ze-HPV ze-HPV onokuyenza azange zivavanyelwe iintsholongwane zesifo sofuba.
Izinto zobungozi
I-HPV inokuthi ivumelwano kunye nabani na osebenza ngokwesondo. Izinto eziphakamisa umngcipheko wokuhlakulela iilts of genital ziquka:
- Ubundlobongela obungasakhuseli besini
- Isondo lomgqundu
- Ukwabelana ngesondo ngomlomo okanye iimpundu
- Ukuqhagamshelana nomzimba
- Ukuzala
- Izifo ezandulele ngesondo
- Amaqela amaninzi ezesondo
- Ukubhema akunyusa ingozi yokuthenga i-HPV kodwa kunokulibazisa amandla omzimba wokucima intsholongwane.
Nangona iimeko ezithile ze-HPV zingasombulula ngokwabo, iintlobo ezithile ze-HPV zingakhokelela ekuphuhlisweni kweekliniki zomlomo wesibeleko, i-penile, kunye ne-anal, phakathi kwabanye.
Kule meko, intsholongwane ayibangeli ngokuthe ngqo i-cancer, kodwa kunokukhokelela ekuvukeleni okunokubangela umdlavuza. Ezinye izinto, ezifana nokutshaya, ezityholisa ukukhutshwa kwintsholongwane emzimbeni, zinokubangela ukuphuhliswa komhlaza.
Unyango
Akukho nonyango ye-HPV. Unyango luyafumaneka kwiimpawu, ezifana nemiltshi yomzimba, umdlavuza wesibeleko, kunye noshintsho lwentsapho. Kodwa, unyango luya kuxhomekeka kwi-diagnostic kunye nobunzima besifo.
Izigulane zomzimba zingaphathwa ngayo:
- Amachiza - Kukho amayeza kunye nonyango olusetyenziswe ngugqirha okhoyo. Ukuzonyango kubandakanya iPodofilox, Imiquimod, kunye neSinecatechins. Ugqirha olwenziwe ngogqirha lubandakanya i-podophylline, i-trichloroacetic acid, ne-bichloroacetic acid. Ezi zonyango zisetyenziswa rhoqo ngeveki ngudokotela.
- Cryotherapy (iqhwa)
- I-Electrocautery (ukutshisa)
- Ukungena kwe-interferon kwiimfazwe
- Unyango lwe laser
- Ugqirha ukususa iilts
Utyando luya kususa iil warts kodwa kungekhona isifo. Ngoko, nangona uphathwe, unokwazi ukuhambisa intsholongwane kumlingane wakho.
Thintelo
Ukuphepha izinto ezinobungozi, njengamaqabane amaninzi eentlobano zesini, kunokunciphisa ingozi yokufumana i-HPV kunye neengxabano zesini. Iikhondom zinokunciphisa umngcipheko kodwa zingasoloko zithintela ukusasazeka kwe-HPV, nje kuphela ukudibanisa isikhumba kwesikhumba kuphela. Ukuba uneminyaka engama-9 no-26, ugonyo lunokunceda ukukhusela intsholongwane.
Ukugonywa
Ugonyo lufumaneka kwaye lunokukhusela ukuba ungavumelani negciwane le-HPV. Kukho iintlobo ezahlukeneyo zezibhamu ezikhoyo ezintathu, kodwa zimbini kuphela ezi zinto zenzelwe ukukhusela kwi-wart yomzimba kunye nomhlaza wesifo somhlaza wesibeleko obangela intsholongwane.
Ukugonywa okwangoku okwangoku kwaye iimpembelelo ze-HPV eziye zenzelwe ukukhusela zibandakanya:
- I-Gardasil (evunywe ngo-2006) ikhusela i-HPV 6, 11, 16, ne-18
- I-Cervarix (evunywe ngo-2009) ikhusela i-HPV 16 ne-18
- I-Gardasil 9 (ivunyiwe ngo-2014) ikhusela i-HPV 6, 11, 16, 18, 31, 33, 45, 52, neye-58
> Imithombo:
> UCarusi, D. Imfundo yesineke: Iimfazwe zomzimba kubasetyhini (Ngaphandle kweZiseko). Isemgangathweno. 6/22/15.
> Amacandelo okuLawula nokuLawula izifo. Iphepha le-HPV-Infection-Fact Sheet. 1/03/2017.